Senior Liability Adjuster - Medical Professional

Our Story

Imagine being part of a team that’s not just shaping the future but actively driving it. At Davies North America, we’re at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.

What’s in Store 

We are seeking an experienced Senior Liability Adjuster – Medical Professional to handle a diverse range of nursing home E&O, medical malpractice, and other professional liability claims. In this role, you will be responsible for investigating coverage, liability, and damages, as well as managing all aspects of the claims process. This includes negotiating settlements, maintaining a claims portfolio, establishing and monitoring reserves, and ensuring timely payments. You will also prepare comprehensive reports and effectively communicate with your manager, internal teams, and external customers. This position requires a proactive, detail-oriented professional with strong analytical and communication skills who can navigate complex claims with efficiency and accuracy.

Responsibilities and Duties

• Negotiate and settle nursing home, medical malpractice and other professional liability claims 
• Prepare written status and reports for clients
• Ability to interpret routine and complex policy contracts and coverage.
• Ability to plan, organize and establish priorities to maintain various responsibilities under critical deadlines
• Attend mediations and settlement conferences as necessary
• Direct and monitor defense counsel to settle litigated claims
• Provide monetary authority and strategy to counsel to ensure client’s money and claims are protected
• Knowledge of current case law, statutory law, DOI regulations, etc. that apply to claims practices and issues within the territory of operation
• The ability to determine, evaluate, investigate and resolve claims
• Demonstrate sound analytical skills
• Other duties as assigned

This role is a full-time remote position.

Your Expertise, Skills, and Abilities

• 5-7 years of experience handling various (E&O) and medical malpractice claims
• Adjuster’s License Required.
• NY License (preferred) or willingness to obtain additional license.
• Juris Doctor or Bar membership a plus
• Coverage analysis, risk transfer assessment, litigation and vendor management
• Proactive, independent, dependable, and takes initiative with consistent follow through
• Superb written and verbal communication skills conducted in a timely manner with diverse audiences
• Superior time management skills with capability of working with and meeting deadlines
• Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced, dynamic work environment
• High level attention to detail with ability to utilize decision making and problem-solving skills
• Capable of working collaboratively and independently with minimal supervision
• Exhibit discretion with sensitive and confidential information
• Display a comfort level working with key people at all levels within an organization

Benefits

At Davies North America, we are dedicated to supporting the well-being and future of our qualifying employees. Our comprehensive benefits package includes:

• Medical, dental, and vision plans to ensure your health and that of your family.
• A 401k plan with employer matching to help you build a secure financial future.
• Our time-off policies, including Discretionary Time Off for exempt employees and Paid Time Off (PTO) package for non-exempt employees, reflect our commitment to promoting a healthy work environment.
• Paid holidays.
• Life insurance and both short-term and long-term disability plans, providing essential financial protection for you and your loved ones.

Diversity and Inclusion

Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity, and we actively promote an environment where all voices are valued and heard.

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